Permit n CITY OF TIGARD BUILDING PERMIT
1,1• COMMUNITY DEVELOPMENT Permit: BUP2013 00202
T GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/09/2013
I
Parcel: 1 S1260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD OFFICE
Project: Kaiser Permanente Kiosk Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Install temporary retail kiosk. Kiosk is located in common area in front of Nordstrom's main entry.
Contractor: FAUSTROLLEAN FIXTURE CO INC Owner: PPR WASHINGTON SQUARE LLC
2665 NE RIVERSIDE WAY PO BOX 847
PORTLAND, OR 97211 CARLSBAD, CA 92018
PHONE: 503-735-4469 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIB DC Provision Review,COM TI-Ping 09/09/2013 $70.00
Occupancy Grp: M Occupancy Load: DC Provision Review,COM TI-LRP 09/09/2013 $10.00
Dwelling Units: 0 Permit Fee-Additions,Alterations, 09/09/2013 $377.90
Demolition
Stories: 0 Height: 0 ft 12%State Surcharge-Building 09/09/2013 $45.35
Bedrooms: 0 Bathrooms: 0 Plan Review 09/09/2013 $245.64
Value: $20,000 Plan Review-Fire Life Safety 09/09/2013 $151.16
Info Process/Archiving-Sm$0.50(up to 09/09/2013 $4.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $904.05
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. A■ .• •∎• Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-r.1-0010 through • 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 50'232.1987 or 1.800.332.2344.
Is•ued By: /t , i Permittee Signature: /- r 4 ,
L ��� , aL
Call 503.639.4175 by 7:00 a.m.for the next available In pection date.
This permit card shall be kept in a conspicuous place on the Job site u it completion •f the project.
Approved plans are required on the job site at the time of ea nspecti• .
i(d vBtiilJnz Permit Application
. Commercial RECEIVED . FOR OFFICE USE ONLY
City of Tigard AUG 15 2013 Received )I Permit No.: 4 t,( i, QO
Date/B : a MA
. u 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review a ‘'
a t • 2 Other Permit:
Phone: 503-718-2439 Fax: 503-598- Date/By: P V
T I G n R D Inspection Line: 503-639-4175 t�I Y OF TIGARD Date ReadyB : �/ 2 Juis El See Page 2 for•0 Internet: www.tigard-or.gov BUILDING DIVISION °'� .d: /S�3 Supplemental Information
TYPE OF WORK RE(UIRE DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
- Indicate the value(rotnded to the nearest dollar)of all
❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
-
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $12 1-and 2-family dwellin g ❑CommerciaUindustrial
I:]Accessory building El Multi-family Number of bedrooms:
❑Master builde ❑Other: Number of bathrooms:
q°,--g JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: N 5H l N 1 .`c' t� s qv/`kE �,,, New dwelling area: square feet
City/State/ZIP: !a 4'1.---D / 0 2 "7 - -5 Garage/carport area: square feet
- -Suite/bldg:/apt.-no::-- Project name:KA,S-K RETP�t- L ‘<‘m-y.„... Covered porch area square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(routded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF-WORK work indicated on this application.
PM—E S K O S K_ Valuation:"ZOI $ • O
r `� r— 1 Existing building area square feet
New building area: square feet
'❑'PROPERTY-OWNER ❑ TENANT Number of stones:
Name: \�/ik5�,.�1 c`.� c q j Type of construction:
Address: 1L Occupancy groups:
City/State/ZIP: Existing:
Phone:( ) Fax:( ) New:
❑ APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name:
Structural plan review fee(or deposit):
Contact name:
FLS plan review fee(if applicable):
Address:
City/State/ZIP: Total fees due upon application:
Amount received:
Phone:( ) Fax::( ) _ lll..J///
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mc nted Photo Voltaic Solar Panel S . em.
Business namc: 7PtUSTik L.LE NA t �X+ Submit two( sets of roof plan with co.a-ction details
1 _ _ ,` and fire departm; t access,along •. the 2010 Oregon
Address: 26 5 E" Q ` v r to i 9 Solar Installation .ecia/ly Co-- checklist.
City/State/ZIP: `7 tu iv t. L#N D C `R1 cn 2, , Permit fee(inc de an review $180.00
)1 1 and ad • trafive fees :
-
Phone:(-Sit�) 4-li� /i 4 , Fax:( ) State surcharg- 2%of•- it fee): $21.60
CCB lic.: (7(01.10 "1 3 ally- Total '-e due upon app6 : ion: $201.60
Authorized signatur . te,Ar 4 This permi application expires if a p• it is not obtained
within 180 I ays after it has been accepted as complete.
Print name: f I LL Date: V 15/Y 3 * Fee methodology set by Tri-County Building Industry
Service Board
1:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012 440-4613T(I I/02/COM/WEB)
. • p
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2]of Valuation Computation): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012
� r
1111 Building Division
Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: c , Pao 13-00 2- ❑ Expedited Review
Project Name: V)9-/ P 2Mi3,J 11v i 6- A l o 5
Site Address: ci 5 g S a L34. /2-"b . , Suite/Bldg #:
Plans Routed:
Original Plan Submittal Date: 3/4 3 Routed ByCliv_
1St Revision Submittal Date: Routed By:
2nd Revision Submittal Date: Routed By:
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718-2439. •
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact l 11le,ry I C t-∎ el at (503) 718x,7437 or L`.11c @tigard-or.gov)
Proposal: re-t-a , K i a.s i W; -FW VJ ad h i n t' TU ■ S t■A-a --e Marl l
Zoning MU. C_
Permitted Use Yes fin No ❑
Land Use Required: Yes ❑ No
Notes: kld Iand uSe reL) e,,3 is vet u -ed bec.c<ic.le %s
nS:de +11e rnalL.
Approved ❑ Not Approved ❑ DCPR Not Required—No DCPR Fees Due
Date Routed to Building:
1:\CURPLN\Masters\Development Code Provision Review\DCPR_COM_NoLandUse.doc Rev.01/16/13
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9585 SW WASHINGTON SQUARE RD OFFICE,
TIGARD, OR, 97223
Commercial - Building
299 Final inspection
2013-12-09 (null)
BUP2013-00202
PASS - C of O
Violation Summary:
Inspector Contractor